Provider Demographics
NPI:1801887260
Name:YOWLER, ROBERT PARKER II (RPH)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:PARKER
Last Name:YOWLER
Suffix:II
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 243
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:KY
Mailing Address - Zip Code:40006-0243
Mailing Address - Country:US
Mailing Address - Phone:502-255-3540
Mailing Address - Fax:502-255-3615
Practice Address - Street 1:325 HWY 42E
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:KY
Practice Address - Zip Code:40006-0243
Practice Address - Country:US
Practice Address - Phone:502-255-3540
Practice Address - Fax:502-255-3615
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY007166183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P01566OtherKY PHARMACY
1816048OtherNABP
KY9001112300OtherDME SUPPLIER # MEDICAID
18D0950636OtherCLIA
0266OtherFLU
063700001OtherDME SUPPLIER # MEDICARE
KY54019153Medicaid
KY54019153Medicaid
0266OtherFLU